scheeksrn
Experienced Member
Posts:111
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| 10/28/2008 11:09 PM |
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| I work on a Peds Critical Care, our nurse to patient Ratios are 1;2 and at time 1;1. On the Peds general floor it is 1;4-5 and the NICU it is 1;2-3. |
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Melissa
Experienced Member
Posts:146
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| 11/03/2008 11:13 PM |
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| Yes, I have something to say about this...if there is such a shortage in nursing why is it that lately I am seeing GOOD nurses and CNA's let go for what seem to be personal vendetta's? Shouldn't we keep what few good dedicated employees we have and help them through their trivial flaws? |
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Melissa Welch LPN |
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shovelhead
Experienced Member
Posts:141
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| 12/18/2008 11:45 AM |
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| Acuity has a great deal to do with the ratio, ergo my posting what the different areas in the ER have for patient ratio. Having worked as an NA in a LTCF with 32 residents under my care (the gero-psych wing, as a point of interest), I can say that acuity has it's place, but type of patient (demented little old lady that likes finger painting) can also adversely affect the care that the rest of the patients get. I admit that when I worked the floor in Texas it was 10-12 per RN and the acuity was fairly heavy on a renal telemetry unit. I no longer have the skill set to deal with that kind of patient load. However, I now carry a skill set that can deal with a couple of significantly ill patients, or a severe trauma. Different knowledge base, different skill set. Hard to compare apples to oranges. |
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Motorcycle racing make heroin look like a vague craving for salt. |
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nurse_sara
New Member
Posts:2
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| 12/18/2008 10:38 PM |
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Our hospital makes us take up to 10 pts. at once, which I think is unsafe b/c they smother us to death with paperwork We triple chart most things,which of course takes away from pt. care...The problem is that they refuse to hire PRN nurses. I wanted to change my status to PRN as I was promised when I was hired, so I can go to college, but now they can't do that b/c they say they don't keep PRN nurses? So...there's no backup, or plan "B" so to speak. |
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paula
Junior Member
Posts:12
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| 01/19/2009 5:03 AM |
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| Ratio of nurse to patient in the Phil may be high, as they say it's 1:50 like in the government hospital but these patients have their family members to do bedside care and facilitate other errands needed by the nurses in the floor. Patients in the Phils are not demanding, and nurses can even delegate giving the medications through the family members, I was once a nurse in the Phil. i should know that. However, being a nurse in US is really tough. If there are falls, it is still the nurse who is accounted for. In the Phils, if the patient falls, it is the family member's fault for not watching the patient carefully. I am referring to government hospitals. I should say working as a nurse in the Phils is just 1/2 load than that working as a nurse in the US. Most of the nurses here would say LIFE IS BETTER BACK HOME but there is nothing we can do because of the very, very low salary in the PHILs. Phil nurses should not compare their ratio with that of the US. Thank you Leojin for giving the true picture of nursing practice in US. |
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marino
Junior Member
Posts:16
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| 01/19/2009 9:30 PM |
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| The practice of "floating" nurses from one area to another usually is the result of inadequate number of staff. I suggest the PNA to come up with a "Minimum Staffing Ratios for Hospitals" to protect our RNs. |
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simply
Active Member
Posts:82
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| 01/22/2009 4:57 PM |
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| 1: 4 in speciality medicine |
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Bandaid
New Member
Posts:4
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| 01/22/2009 9:19 PM |
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I work ER, I,been nursing from LPN-RN,In the profession since 1973!have seen team nursing change to primary which was where your given 5 patients to do everyhing for for the shift,then changed to modified primary nursing which led to doing it all for 1-10,12,15 if needed,I will tell you now bring back Team Nursing,nursing has gotten away from working together as a team.we forgot how to stick together and to stick up for each other,this includes LPN and aides.Working as a team was much better.They have pulled us apart and taken away our voices and our ability to put nursing back into patient care.We want to nurse patients,not papers,not bugets,and not those that tell us all we are suppose to do and do not give us the resources to do them.
I am tired,and burned out and at 54, I want to flee from this profession that I have put my heart in for 36 years,the problem is ,nursing is me, it is what i am, and do!
The pt. load that is given to nurses,in my ER is heartbreaking.Not only do you have the ones you start with at shift,which often are pt. that are admitted, that sometimes stay for days;but you have the continuous flow of ER walk-ins and ambulances and GOD help us the Notification that comes in between(Arrests,strokes,ODs ,MI's etc).We are still expected to maintain CORE Measures,and Dot,all our I's and cross all the T's.All the admitted pts.,orders,test,medications,and continuity of care is still expected and rightly so.But We ARE ONLY HUMAN.You still have to take are of business with the new ER pt's.The nurse is the Labtech,IV starter,respiratory treatmeant giver,Medications,watching monitors,getting consults,calling for the tests,Oh not to mention the same think has to be done also for all the poor admitted pts. stuck without a bed too. Nurse :Patient Ratio DEFINITLLY. I, along with other nurses are tired,fed up and disillusioned with our CHOSEN profession and we feel no one cares.
Now you can SAY there is a nursing shortage,but I FEEL that if there is a mandated ratio ,you will see how many nurses are willing to work and how many we can retain.Nurses dont eat there young ,these days the young seeing what they have to contend with,RUN for the nearest exit,due to getting hit in the face with Reality.This is my world of NURsing.I Never in my life thought I would ever have the heart of nursing taken away from me.I have been trying for the last few years to get it back,but feel I am losing the Battle.Any words of wisdom for an etched in stone, die hard nurse ,please send them out to me.Thanks. |
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marino
Junior Member
Posts:16
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| 01/23/2009 12:01 AM |
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Minimum Staffing Ratios for Hospitals in California Effective 2004
Unit Nurse Patient Ratio
Critical Care/ ICU---------------------------------------------1:2
Neonatal ICU--------------------------------------------------1:2
Operating Room----------------------------------------------1:1
Labor & Delivery----------------------------------------------1:2
Ante Partum---------------------------------------------------1:4
Post-partum couplets---------------------------------------1:4
Post-partum women only----------------------------------1:6
Pediatrics -------------------------------------------------------1:4
Step-down (initial) -------------------------------------------1:4
Step-down (in 2008) ---------------------------------------1:3
Medical\Surgical (initial) -------------------------------------1:6
Medical/Surgical (deferred from 2005 to 2008 ------1:5
Oncology (initial) ----------------------------------------------1:5
Oncology (in 2008) ------------------------------------------1:4
Psychiatry -------------------------------------------------------1:6
Emergency Room ---------------------------------------------1:4
Source: Leadership Roles and Management Functions in Nursing
5th edition by Bessie L. Marquis and Carol J. Huston
Page….420
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marino
Junior Member
Posts:16
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| 01/23/2009 5:33 PM |
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This is the latest
...................................................CNA: A VOICE FOR NURSES ~ A VISION FOR HEALTHCARE
www.calnurse.org
RN RATIOS ALERT
¡RN Ratios
No RN can be assigned responsibility for more
patients than the specific ratio at any time, under
any circumstances, based on patient acuity and
scope of practice laws. An LVN cannot be
assigned overall responsibility for a patient.
¡DHS Ratios are Minimums
Once the DHS minimum ratios are in place,
additional staffing must be assigned based on
patient acuity.
¡No Averaging
The ratios are the maximum number of patients
assigned to any one RN at all times during a shift.
¡Break Coverage
A competent charge nurse, RN manager or break
RN must relieve an RN during their breaks.
Ratios
Intensive/Critical Care……………………1:2
Neo-natal Intensive Care…….…………1:2
Operating Room…………………...………1:1
Post-anesthesia Recovery……………...1:2
Labor and Delivery…………………….…..1:2
Antepartum…………………………..……..1:4
Postpartum Couplets……………..………1:4
Post partum Women only ……………..1:6
Pediatrics………………………………………1:4
Emergency Room……………………..…..1:4
ICU Patients in the ER………………..….1:2
Trauma Patients in the ER………………1:1
Step Down ………….…………………….…1:3
Telemetry Initial……………………….…….1:5
Telemetry in 2008……………………...…1:4
Medical/Surgical ……….……………………1:5
Other Specialty Care ……………………..1:4
Psychiatric………………………………………1:6
......................................................................................................................................................... |
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RCRMCRN
New Member
Posts:1
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| 01/24/2009 12:19 AM |
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| My unit is 1:3 if RN is assisted by a CNA, 1:6 if teamed with an LVN and CNA. It's a telemetry unit/stepdown at a County Hospital. |
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eudemon
New Member
Posts:2
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| 02/10/2009 5:34 AM |
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| In the hospital I'm working right now the usual nurse-patient ration is 1:7 or 1:8. Our unit has 39 bed capacity but sometimes it can reach up to 40-41 depends if there are double beds inside 1 private room. |
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HuntinGal
New Member
Posts:2
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| 02/12/2009 11:31 AM |
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| Well I work in Long Term nursing and where I am at its 1 to 39 residents and sometimes those residents need alot of 1 on 1 and we just dont have the staff for that. I am not a nurse yet ( going to school currently) I am a CNA/Med Aide that works on the floor. We arent really nursing shortages as CNA shortages. We are always short and it get very stressful because our residents except a certain level of care and we try to make sure they get that level of care even when we are short staffed. Some of our upper management commented one of my co workers that CNAs are a dime a dozen and house keepers are harder to get and thats why they get a raise! I dont know if yall see that where you are but here its quite aggravating. Any thoughts? |
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nhlpn
New Member
Posts:1
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| 01/14/2010 10:09 AM |
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| LTC lpn i have 38 residents ranging from 44-102 years old. very hard job, never enough time in a day, end up working at least an hour over on each of my already 12 hour shifts, just to get all my paperwork done. |
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Gchild
New Member
Posts:1
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| 02/18/2010 11:44 AM |
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what is the pt./cna ratio in texas, does anyone know? . ive had as many as 13 and 14 patients in a rehab hospital which is more than too much.
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4bdnfruit
New Member
Posts:2
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| 03/06/2010 5:21 PM |
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LOL I have threatened many times to retire and sell socks @ Saks! |
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*KimmieRN*
Junior Member
Posts:14
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| 03/07/2010 10:58 PM |
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| I work on a general Med/Surg floor and we can take up to 7 but it is usually 1:5 |
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Sybil
New Member
Posts:2
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| 03/12/2010 2:12 AM |
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| I'm a NICU nurse here in Saudi and usually the ratio should be 1:1 for ventilated and 1:2 for stable patients yet it's not followed due to staff shortages. We handle 2 ventilated and 2 stable patients in a shift sometimes. ;( |
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